140例骨关节型严重多发伤的损害控制及临床治疗

目的：探讨骨关节型严重多发伤的损害控制、治疗，并对其进行分析。方法选择2011年7月至2012年1月在泸州医学院附属医院骨与关节外科住院的140例骨关节型严重多发伤患者作为本次临床观察的研究对象，将140例患者随机分为观察组（损害控制治疗组）和对照组（常规治疗组），每组70例，治疗14 d后比较两组患者乳酸清除时间、凝血酶原时间、手术时间、并发症发生率、病死率等。结果观察组乳酸清除时间、凝血酶原时间、手术时间均显著低于对照组，差异有统计学意义（ P＜0．05）；观察组并发症发生率为8．57％，远远低于对照组的22．86％，观察组病死率（2．86％）也远远低于对照组（11．43％），两组比较差异均有统计学意义（ P＜0．05）。结论应用损害控制治疗骨关节型严重多发伤患者，并发症发生率及病死率降低，救治成功率提高，值得临床推广应用。

Analysis on the treatment of 140 patients with bone and joint type of serious multiple trauma damage

Objective To investigate the effect of damage control treatment in patients with bone and joint type of serious multiple trauma .Methods A total of 140 patients with bone and joint type of serious multiple trauma were selected from July 2011 to January 2012 ,and divided into observation group （damage control treatment group） and control group（conventional therapy group ） randomly ,70 cases in each group .Lactic acid clearance time ,pro-thrombin time ,operation time ,complication rate and mortality rate of two groups were compared after fourteen days treatment .Results The lactic acid clearance time ,prothrombin time ,operation time of the damage control treatment group were significant lower than that of the control group ,differences between the two groups were significant （P〈0 .05） .The incidence of complications in observation group was 8 .57% ,much lower than that of the control group , the mortality of the observation group （2 .86% ） was far less than the control group （11 .43% ） too ,difference be-tween the two groups was statistical significance .Conclusion The application of damage control in treatment of bone and joint type of severe multiple trauma can reduce complications ,mortality ,and improve the success rate of treat-ment ,should be worthy of being generalize .